Individual
DIANE J LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
249 N GROVE MEDICAL PARK DR STE 100, SPARTANBURG, SC 29303-4227
(864) 582-8135
(864) 573-9757
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
88230
SC
208000000X
Pediatrics Physician
LL82583
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/24/2019
Last updated
08/24/2022
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